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Biomedical subjects

M J Bronskill

Publications and source records attributed to M J Bronskill.

At least 37 records · Page 2Linked to original sources

Quantitative correlation of breast tissue parameters using magnetic resonance and X-ray mammography.

Previous investigators have shown that there is a strong association between the fraction of fibroglandular tissue within the breast as determined by X-ray mammography (per cent density) and breast cancer risk. In this study, the quantitative correlation between per cent density and two objective magnetic resonance (MR) parameters of breast tissue, relative water content and mean T2 relaxation time, as investigated for 42 asymptomatic subjects. Using newly developed, rapid techniques MR measurements were performed on a volume-of-interest incorporating equal, representative portions of both breasts. X-ray mammograms of each subject were digitised and analysed semiautomatically to determine per cent density. Relative water content showed a strong positive correlation with per cent density (Pearson correlation coefficient rp = 0.79, P < 0.0001) and mean T2 value showed a strong negative correlation with per cent density (rp = -0.61, P < 0.0001). The MR and X-ray parameters were also associated with sociodemographic and anthropometric risk factors for breast cancer (P < 0.05). The potential use of MR parameters to assess risk of breast cancer and to provide a frequent, non-hazardous monitor of breast parenchyma is discussed.

Adipose Tissue↗

Magnetization transfer and T2 relaxation components in tissue.

T2 relaxation makes an important contribution to tissue contrast in magnetic resonance (MR) imaging. Many tissues are known to exhibit multicomponent T2 relaxation that suggests some compartmental segregation of mobile protons on a T2 timescale. Magnetization transfer (MT) is another relaxation mechanism that can be used to produce tissue contrast in MR imaging. The MT process depends strongly on water-macromolecular interactions. To investigate the relationship between multicomponent T2 relaxation and the MT process, multiecho T2 measurements have been combined with MT measurements for freshly excised samples of cardiac muscle, striated muscle, and white matter. For muscle, short T2 components show greater MT than long T2 components, consistent with the belief that they represent distinct water environments. For white matter, quantitative MT measurements were identical for the two major T2 components, apparently because of exchange between the T2 compartments on a time-scale characteristic of the MT experiment. Implications for accurate modeling of MT in tissue and the use of MT for MR image contrast are discussed.

Animals↗

Analysis of discrete T2 components of NMR relaxation for aqueous solutions in hollow fiber capillaries.

An analysis is presented of proton NMR T2 relaxation times measured for aqueous solutions in simple bundles of hollow fibers. The relaxation times are calculated with a two-compartment diffusive exchange model using the known relaxation times of the aqueous solutions and the fiber geometry. When the relaxation time outside the fibers is short (approximately 1 ms), three or more relaxation components are observed from this two compartment system, in agreement with the calculation. The amplitude and relaxation times of the third component are consistent with those of a diffusion-mediated mode, as suggested theoretically by Brownstein and Tarr (Phys. Rev. A 19, 2446 (1979)). The possible contribution of such modes to the multicomponent relaxation observed in tissues is discussed.

Animals↗

Anisotropy of NMR properties of tissues.

Orientational anisotropy of T2 and T1 relaxation times, diffusion, and magnetization transfer has been investigated for six different tissues: tendon, cartilage, kidney, muscle, white matter, and optic nerve. Relaxation anisotropy was observed for tendon and cartilage, and diffusional anisotropy was measured in kidney, muscle, white matter, and optic nerve. All other NMR measurements of these tissues showed no orientational dependence. This pattern of NMR anisotropies can be interpreted from the underlying geometrical structures of the tissues.

Achilles Tendon↗

Medical physics.

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Diagnosis, Computer-Assisted↗

Quantitative interpretation of magnetization transfer.

Magnetization transfer contrast (MTC) experiments using off-resonance irradiation have been performed with an agar gel model by systematically varying offset frequency, amplitude of the RF irradiation and gel concentration. The experimental results are shown to be quantitatively modelled by a two-pool system consisting of a liquid pool with a Lorentzian line shape and a small semisolid pool with a Gaussian lineshape. The fitted model yields physically realistic fundamental parameters with a T2 of the semisolid pool of 13 microseconds. Further analysis shows that the off-resonance irradiation MTC experiment had significant limitations in its ability to saturate the semisolid pool without directly affecting the liquid component.

Agar↗

Quantitative magnetic resonance imaging parameters and their relationship to mammographic pattern.

BACKGROUND: Breast cancer exhibits wide international variation in incidence, which has led to the identification of several factors correlating with the risk of the disease. Magnetic resonance imaging (MRI) techniques can provide quantitative information about the biological and physical properties of tissue. PURPOSE: This work tested several magnetic resonance tissue parameters for their ability to distinguish quantitatively between breast tissues in subjects at substantially different risk for breast cancer as defined indirectly by their parenchymal pattern on mammograms. METHODS: Quantitative MRI parameters (relative water content, longitudinal relaxation time [T1], and transverse relaxation time [T2]) were measured for breast tissue using newly developed techniques in two groups of women with mammographic parenchymal appearance associated with high (Dy pattern [i.e., extensive nodular or diffuse density]; n = 12) or low (N1 pattern [i.e., breast containing mainly fat]; n = 11) risk of breast cancer. RESULTS: The two groups have significantly different average relative water content (P less than .0001) and average T1 (P less than .0001). Pixel histograms of T2 values show marked differences between the two groups which can be characterized with a fourth moment parameter. CONCLUSIONS: Quantitative MRI techniques exhibit good potential for assessing tissue characteristics in the breast that are associated with risk of breast cancer. IMPLICATIONS: Future work will address the direct correlation of MRI parameters with risk of breast cancer.

Adult↗

Optimization of prostatic magnetic resonance imaging technique.

With a 1.5-T magnetic resonance imager the authors systematically varied a large number of technical factors to obtain an optimum balance between high image quality and reasonable imaging time for the prostate gland. Each parameter was adjusted relative to benchmark images of very high quality to achieve a reasonable acquisition time with as little loss of the signal-to-noise ratio (SNR) as possible. Image quality was judged subjectively by magnetic resonance radiologists and objectively by measurements of SNR for the prostate. The authors recommend multislice, multiecho spin-echo pulse sequences with dual surface coils, fat suppression, reduced bandwidth, a repetition time of 1500 ms, echo times of 30 and 60 ms, a flip angle of 60 degrees, two excitations, a slice thickness of 5 mm with a 1.5-mm gap and 192 phase-encoding steps. The acquisition time for one such series was 9.6 minutes.

Humans↗

Optimization of survey protocols for MRI.

A method for evaluating the sensitivity of MRI protocols to changes in an arbitrary number of tissue parameters over a broad range of parameter values is presented. This analysis is useful for choosing an optimal basis set of images for either a "survey" protocol or tissue segmentation algorithms. A survey protocol is required when searching for a lesion of unknown type or location. Segmentation requires unique signal signatures for tissues that may cover a broad range of tissue parameter values. Data acquisition is modeled as a mapping of a domain of tissue parameter values into a signal manifold in a signal strength space defined by the MRI protocol. The efficacy of the protocol is evaluated by investigating the characteristics of the signal manifold. A figure of merit which maximizes the probability of discriminating each point in the domain of tissue parameters from all others is developed.

Clinical Protocols↗

Making magnetic resonance images and beyond.

Magnetic resonance (MR), a comparatively new imaging method in Canada, is based on physical principles that are different from all current imaging methods. An understanding of these principles is therefore essential to appreciate the clinical capabilities and limitations of MR. Because MR is a multiparameter imaging method, the challenge of choosing appropriate imaging sequences must be addressed. The technical development of anatomical image formation is now almost complete, so future research will focus on the use of MR to obtain more than just spatial information. The quantitative measurement of relaxation times, chemical composition, flow and spectra hold great promise in extending the capabilities of MR beyond those of other imaging methods.

Humans↗

Spin locking for magnetic resonance imaging with application to human breast.

The dependence of rotating frame spin-lattice relaxation, T1 rho on locking field frequency, f1, was measured for phantom materials and human breast tissues. These data were used to predict the relative signal strengths obtainable in a spin-locking imaging sequence. This imaging sequence was implemented on a 0.15-T imaging system and measurements of phantom and tissue signal strength for various imaging parameters agreed with predicted signal strengths. Compared to T1 and T2, T1 rho appears to have unique capability to distinguish tumor from normal fat and fibrous breast tissues. The applications of T1 rho to tissue characterization and imaging at high static field strengths are discussed.

Adipose Tissue↗

Continuous distributions of NMR relaxation times applied to tumors before and after therapy with X-rays and cyclophosphamide.

In vivo measurements of T1 and T2 values in two experimental tumors growing in the legs of mice were made during tumor growth and after treatment of the tumor with either X-rays or cyclophosphamide. The T1 and T2 values were obtained by fitting the data to continuous distributions of relaxation times. This technique gives broad distributions of relaxation times which are characterized by a number of peaks with characteristic T1 and T2 values. Before treatment, the T1 and T2 values increased before a palpable tumor mass could be detected. The response to subcurative doses of either treatment method was a reduction in the T1 and T2 values and a parallel reduction in tumor weight. Although local recurrence was characterized by the same pattern of tumor growth as was observed before treatment, therapy was found to give higher relaxation time values than those measured in untreated tumors. The higher relaxation time values of tumor-bearing legs were the result of redistribution of the peaks in the distribution and not changes in the relaxation times of the individual peaks.

Animals↗

Optimization of MR protocols: a statistical decision analysis approach.

A new method of optimizing MRI data acquisition protocols is presented. Tissues are modeled with probability density functions (PDFs) of tissue parameter values (such as T1, T2). The imaging data acquisition process is modeled as a mapping from a tissue parameter space to a signal strength space. Tissue parameter PDFs are mapped to signal strength PDFs for each tissue in a clinical problem. The efficacy of an MRI protocol is evaluated using the methods of statistical decision analysis applied to the signal strength PDFs, including the propagation of noise. This procedure evaluates the ability to discriminate different tissues based on the signal strengths produced with the protocol. The model can incorporate an arbitrary number of tissues, parameters, and pulse sequences in the protocol. The multivariate nature of MRI and the observed broad distribution of tissue parameter values makes this model more appropriate for optimizing data acquisition protocols than methods which maximize the signal-difference-to-noise ratio between discrete values of the tissue parameters. It is shown that these two methods may calculate different optimal protocols. The method can be used to optimize data acquisition for quantitative computer-based tissue classification, as well as imaging. Data acquisition and image processing philosophies are discussed in light of the method.

Computer Simulation↗

Syrinx-like artifacts on MR images of the spinal cord.

Magnetic resonance (MR) imaging of the spinal cord frequently demonstrates, especially on sagittal sections, a central stripe that mimics a true syrinx. This syrinx-like manifestation of a truncation artifact occurs in objects having a width of only a few pixels and was demonstrated by calculations verified with phantom MR images. Healthy volunteers and two patients with a syrinx and cervical spondylosis, respectively, underwent MR imaging. By increasing the number of phase-encoding steps, decreasing the field of view, and switching phase- and frequency-encoding axes, the syrinx-like artifact can be eliminated.

Cervical Vertebrae↗

Magnetic resonance imaging, computed tomography, and radionuclide scintigraphy in detection of liver metastases.

A series of 100 patients with suspected hepatic metastases was studied with magnetic resonance (MR), unenhanced computed tomography (CT), and radionuclide (RN) scintigraphy. Each set of images was read by three clinicians using a five-point scale to allow receiver operating characteristic (ROC) analysis using truth data derived from clinical review. Performance was measured by the areas under the ROC curves (0.940 +/- .018 for MR, 0.951 O +/- .013 for CT and 0.943 +/- .013 for RN) which were statistically not significantly different. We conclude that at their present level of development these three diagnostic examinations have equivalent performance and that MR is not superior in the detection of hepatic metastases.

Evaluation Studies as Topic↗

MRI of periprostatic venous plexus in staging of early prostatic carcinoma.

The periprostatic venous plexus can be observed as a bright rim in coronal magnetic resonance (MR) images obtained by spin-echo (SE) 2060/60 technique. A carcinoma of the prostate which penetrates through the capsule into the periprostatic tissues interrupts or obliterates this rim, whereas an intact rim indicates that the tumor is confined within the prostatic capsule. One hundred patients with proven prostatic carcinoma were prospectively imaged by MR to detect periprostatic involvement. The results were compared with those obtained by cystoscopy and digital rectal examination under general anesthesia. The imaging and clinical methods agreed with each other in 76% of the patients.

Adult↗

Small animal imaging with a clinical magnetic resonance imager.

Any clinical whole-body MR imager can be adapted for experimental small animal imaging. The design of an rf receiver coil and an efficient magnified imaging technique are presented. Application of this small animal imaging technique is illustrated using a study of paramagnetic contrast enhancement of a tumor in the mouse.

Animals↗

Equivalent circuit for coil-patient interactions in magnetic resonance imaging.

An equivalent circuit is presented which accurately models the performance of magnetic resonance imaging receiver coils used with conducting samples. Coil-sample interaction is determined by measuring either the complex impedance or the associated resonant frequency and quality factor when samples of different conductivity are placed in the coil. The equivalent circuit component values are obtained from these data using a global nonlinear least squares fit. This equivalent circuit contains a minimum number of components necessary for understanding and quantifying the detuning and losses caused by electric and magnetic field coupling with the sample.

Humans↗